Organization Active NPI

Manhattan OB/GYN Surgical Suites

  • Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1689021529
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
MANHATTAN OB/GYN SURGICAL SUITES
Practice address
14 Dekalb Ave FL 4
Brooklyn, NY 11201-5311
Phone
(212) 308-4988
NPI assigned
May 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald David Blatt, M.D.
Title
Medical Director
Phone
(917) 658-6443

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

14 Dekalb Ave FL 4
Brooklyn, NY 11201-5311

Mailing address

86 Broadway
P.O. Box 8052
Woodcliff Lake, NJ 07677
Phone (404) 661-4660

National Provider Directory

National Provider Directory

Locations

86 Broadway
Woodcliff Lake, NJ 07677

144 E 44th St
Ste 295
New York, NY 10017

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1689021529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BROADWAY",
            "address_2": "P.O. BOX 8052",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "07677",
            "telephone_number": "404-661-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DEKALB AVE FL 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015311",
            "telephone_number": "212-308-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN OB/GYN SURGICAL SUITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "BLATT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-658-6443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.